It's another girl for Michelle and Jim Bob Duggar!
Their latest little one, who arrived earlier than expected, was born at 6:27 PM on Thursday at University of Arkansas for Medical Sciences hospital in Arkansas.
She weighed 1 lb., 6 oz.
The "18 Kids and Counting" matriarch, who has been hospitalized for treatment of a gallstone infection, underwent an emergency c-section. Michelle is reportedly resting comfortably and the baby is said to be in stable condition and in the NICU for extended care.
"The most important thing right now is for mom and baby Josie to get as much rest as possible," a rep for TLC said in a statement. "The family is grateful for all the prayers and well wishes during their recovery."
In September, Michelle and husband Jim Bob announced they were pregnant with their 19th child. Access Hollywood previously confirmed TLC is planning to change the name of the family's series to "19 Kids and Counting."
Related Content from AccessHollywood.com:
VIEW THE PHOTOS: The Pregnant Ladies Of Primetime
PLAY IT NOW: Brittany Murphy: 'I Would Love To Have A Child'
PLAY IT NOW: Dean McDermott: 'Candy Has Seen The Kids'